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Impact of the route of clean intermittent catheterization on quality of life in children with lower urinary tract dysfunction
Author(s) -
Alencar Valeria P.,
Gomes Cristiano M.,
Miranda Eduardo P.,
dos Santos Lelis Maria A.,
Fera Patrícia,
de Bessa Jose,
Srougi Miguel,
Bruschini Homero
Publication year - 2018
Publication title -
neurourology and urodynamics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 90
eISSN - 1520-6777
pISSN - 0733-2467
DOI - 10.1002/nau.23789
Subject(s) - medicine , quality of life (healthcare) , clean intermittent catheterization , urinary system , visual analogue scale , stoma (medicine) , pediatrics , physical therapy , surgery , nursing
Aims To compare the impact of the different routes for clean intermittent catheterization on the quality of life of children with lower urinary tract dysfunction. Methods In this cross‐sectional study, all children and adolescents under treatment in our clinic from August 2011 to May 2012 who were on CIC for bladder dysfunction were included. To evaluate the technical difficulty and the discomfort associated with the procedure we used a standard visual analog scale. Quality of life was measured using the Pediatric Quality of Life Inventory Version 4.0. Results A total of 70 children including 38 (54.3%) boys and 32 (45.7%) girls with a mean age of 11.8 ± 3.6 years (range 5 to 18 years) were evaluated. The mean daily number of catheterizations was 4.2 ± 1.1. CIC was performed through the urethra in 51 (72.9%) subjects and a stoma in 19 (27.1%). A 45 (64.3%) were assisted by a caregiver to perform a catheterization. No differences in both difficulty and discomfort for performing CIC were observed between groups. Children who performed CIC through a stoma had a better quality of life scores for the physical ( P = 0.015) and social functioning domains ( P = 0.011). Conclusion The quality of life of children and adolescents performing CIC appears to be affected by the route of catheterization, with a worse performance for those using urethral catheterization.